Job Summary

A healthcare organization has a current position open for Remote Licensed Dentist Utilization Review Physician i  San Antonio.

Individual must be able to fulfill the following responsibilities:

• Reviewing medical files and provides recommendations for utilization review
• Identifying, critiquing, and utilizing current criteria and resources
• Returning cases in a timely manner with clear concise and complete rationales and documented criteria

Required Skills:

• Attends orientation and training and meets with Medical Director to discuss quality of care and credentialing and state licensure issues
• Post-graduate experience in direct patient care
• Must be in active medical practice to perform appeals
• Board certification by American Board of Medical Specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer
• Must present evidence of current error and omissions liability coverage for job duties and activities performed